title: Laparoscopic repair of perforated peptic ulcer: patch versus simple closure.
abstract: BACKGROUND
  Laparoscopic correction of perforated peptic ulcer (PPU) has become an accepted way of management. Patch omentoplasty stayed for decades the main method of repair. The goal of the present study was to evaluate whether laparoscopic simple repair of PPU is as safe as patch omentoplasty.
  
  
  METHODS
  Since June 2005, 179 consecutive patients of PPU were treated by laparoscopic repair at our centers. We conducted a retrospective chart review in December 2012. Group I (patch group) included patients who were treated with standard patch omentoplasty. Group II (non-patch group) included patients who received simple repair without patch.
  
  
  RESULTS
  From June 2007 to Dec. 2012, 179 consecutive patients of PPU who were treated by laparoscopic repair at our centers were enrolled in this multi-center retrospective study. 108 patients belong to patch group. While 71 patients were treated with laparoscopic simple repair. Operative time was significantly shorter in group II (non patch) (p = 0.01). No patient was converted to laparotomy. There was no difference in age, gender, ASA score, surgical risk (Boey's) score, and incidence of co-morbidities. Both groups were comparable in terms of hospital stay, time to resume oral intake, postoperative complications and surgical outcomes.
  
  
  CONCLUSIONS
  Laparoscopic simple repair of PPU is a safe procedure compared with the traditional patch omentoplasty in presence of certain selection criteria.
authors.affiliation: General Surgical Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt. Electronic address: surg_latif@hotmail.com.
authors.forename: M E
authors.initials: ME
authors.lastname: Abd Ellatif
authors.forename: A F
authors.initials: AF
authors.lastname: Salama
authors.forename: A F
authors.initials: AF
authors.lastname: Elezaby
authors.forename: H F
authors.initials: HF
authors.lastname: El-Kaffas
authors.forename: A
authors.initials: A
authors.lastname: Hassan
authors.forename: A
authors.initials: A
authors.lastname: Magdy
authors.forename: E
authors.initials: E
authors.lastname: Abdallah
authors.forename: G
authors.initials: G
authors.lastname: El-Morsy
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D008297:Male; D009852:Omentum / Q000601:surgery; D010439:Peptic Ulcer Perforation / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology; D012189:Retrospective Studies; D058106:Wound Closure Techniques / Q000009:adverse effects / Q000295:instrumentation*; D055815:Young Adult
keywords: Omental patch; PPU; Simple closure